CPT code 67902 represents a surgical repair for eyelid ptosis in which the upper eyelid is attached to the frontalis muscle using a tissue graft. This procedure addresses functional vision obstruction or cosmetic deformity and is performed by oculoplastic or ophthalmic surgeons. Nationally, 67902 is relevant for surgical ophthalmology billing and utilization, impacting outpatient surgical volumes, coverage determinations, and prior authorization protocols.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a concise overview of clinical indications, typical sites of service (outpatient surgical suites and ambulatory surgery centers), and payer coverage patterns where available. Readers will find benchmarks on utilization and reimbursement (where reported by payers), summaries of payer policy trends affecting coverage and prior authorization, and clinical context for coding and documentation that supports medical necessity.

This summary is intended for national audiences including providers, billing professionals, and policy analysts seeking a clear briefing on the clinical purpose of CPT code 67902, payer considerations, and the types of information to review when preparing claims for eyelid ptosis repair with a graft.